Organization
NORTHWEST EYE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BALENTINE MD (OWNER PARTNER)
(503) 227-6568
Entity
Organization
Contact information
Practice address
2222 NW LOVEJOY ST, SUITE 504, PORTLAND, OR 97210-3033
(503) 227-6568
(503) 227-3919
Mailing address
2222 NW LOVEJOY ST, SUITE 504, PORTLAND, OR 97210-3033
(503) 227-6568
(503) 227-3919
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
680887
OR
Other
Enumeration date
11/01/2006
Last updated
09/24/2007
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